Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $25.73 / $134.00	Facility		$9.76	$25.73	$134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.90 / $23.39	Professional		$9.71	$11.90	$23.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.28 / $47.28 / $68.56	Professional	CQ	$47.28	$47.28	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $11.62 / $16.19	Professional		$9.23	$11.62	$16.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $49.50	Professional		$12.68	$12.68	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $72.00 / $202.81	Facility		$70.00	$72.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $20.76 / $111.17	Professional		$11.11	$20.76	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $15.08 / $18.57	Professional		$12.70	$15.08	$18.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $15.43 / $27.07	Facility		$9.73	$15.43	$27.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.00 / $33.97	Professional		$20.00	$25.00	$33.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $18.53 / $35.02	Facility		$11.88	$18.53	$35.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $18.53 / $35.02	Professional		$11.88	$18.53	$35.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $15.07 / $22.33	Professional		$11.80	$15.07	$22.33